Experience of diagnosis and treatment of lingual thyroglossal duct cyst
10.3760/cma.j.cn115330-20191118-00707
- VernacularTitle:舌根部甲状舌管囊肿的诊断与治疗经验
- Author:
Qianwen DOU
1
;
Xiufen TIAN
Author Information
1. 郑州大学第一附属医院耳鼻咽喉头颈外科 450052
- Keywords:
Thyroglossal cyst;
Endoscopic coblation cauterization;
Sistrunk surgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2020;55(7):683-686
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and analyse the imaging examinations, clinical presentation, operative methods complication and the surgical outcomes of lingual thyroglossal duct cyst (LTGDC) .Methods:The clinical data of 30 patients with LTGDC were analyzed retrospectively from January 2015 to October 2018 at the First Affiliated Hospital of Zhengzhou University.Results:30 cases were treated with endoscopic coblation cauterization firstly. Follow-up for 7.5-45.0(25.4) months showed that 25 cases had no recurrence, 2 cases had no connection, 2 cases had recurrence once, and 1 cases had recurrence twice,the recurrence rate was 10.7%(3/28).Two patients recurred once, and the last operation was performed with endoscopic coblation cauterization, and no recurrence was found in the follow-up of 1 year; one patient recurred twice underwent the last operation with Sistrunk operation, and no recurrence was found in the follow-up of 1 year. There was no pharyngeal fistula and hoarseness in 28 patients.Conclusions:For LTGDC,especially, those of the first-episode children, endoscopic coblation cauterization is the first choice. Recurrent LTGDC can be treated by endoscopic coblation cauterization, so that patients with multiple recurrences can be considered the Sistrunk operation.
